Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 00152 | Date 08/08/2018 |
| Token No | SM/24-25/18324 21/08/2024 | Serial | 038 |
| Patient Name | Mrs. MUKTI BISWAS | Contact No | 9868748740 |
| Address | JANNAGAR ROAD | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||